Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 4301049736 | MI |
NPI | 1013026996 |
---|---|
Provider Name | Dr. Roger Sloan Silverstein |
First Address | Bingham Farms, MI 48025-4538 |
Second Address | Bingham Farms, MI 48025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 21/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4254673 | (05) | MI |